Effect of Neural Therapy on shoulder dysfunction and pain in supraspinatus tendinopathy

Objectives: To investigate the effect of 1% procaine injection, which is used in neural therapy, on shoulder pain and dysfunction in patients diagnosed with supraspinatus tendinopathy. Methods: The Range of Motion values, Visual Analog Scale and the QuickDASH Scale scores of 70 patients, who were diagnosed with musculus supraspinatus tendinitis based on magnetic resonance imaging findings, were analyzed. The data of the scales obtained before neural therapy and at the follow-up visit at four weeks after the end of therapy were compared, and a p-value of <0.05 was considered statistically significant. Results: After neural therapy, a statistically significant increase was observed in Range of Motion values and there was a statistically significant decrease in both the Visual Analog Scale and QuickDASH score averages. Conclusion: This is one of the rare studies showing the effects of neural therapy application on shoulder pain severity and dysfunction in patients with supraspinatus tendinitis who are resistant to medical therapy. doi: https://doi.org/10.12669/pjms.38.3.4823 How to cite this:Bashan I, Ozturk GY. Effect of Neural Therapy on shoulder dysfunction and pain in supraspinatus tendinopathy. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.4823 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Ultrasound-Guided Hydrodilatation With Triamcinolone Acetonide for Adhesive Capsulitis: A Randomized Controlled Trial Comparing the Posterior Glenohumeral Recess and the Rotator Cuff Interval Approaches

Frontiers in Pharmacology ◽

10.3389/fphar.2021.686139 ◽

2021 ◽

Vol 12 ◽

Author(s):

Jia-Chi Wang ◽

Po-Yi Tsai ◽

Po-Cheng Hsu ◽

Jian-Ru Huang ◽

Kevin A. Wang ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Rotator Cuff ◽

Range Of Motion ◽

Triamcinolone Acetonide ◽

Shoulder Pain ◽

Visual Analog Scale ◽

Controlled Trial ◽

Adhesive Capsulitis ◽

Analog Scale ◽

Randomized Controlled

For patients with adhesive capsulitis, hydrodilatation is typically performed using corticosteroids with ultrasound guidance via the posterior glenohumeral recess. Recently, a new intervention technique via the rotator cuff interval has been described. This study aimed to compare the efficacy of hydrodilatation with triamcinolone acetonide via the posterior glenohumeral recess and the rotator cuff interval in patients with adhesive capsulitis. This prospective randomized controlled trial was conducted in a tertiary care center with a follow-up period of 12 weeks. We enrolled 64 patients diagnosed with shoulder adhesive capsulitis. The subjects were randomly assigned to two groups that received hydrodilatation with corticosteroids either through the posterior glenohumeral recess or though the rotator cuff interval. The injection contained 4 ml of triamcinolone acetonide (40 mg) mixed with 4 ml of 2% lidocaine hydrochloride and 12 ml of normal saline. The shoulder pain and disability index, visual analog scale for pain, and range of motion were analyzed before and at 6 and 12 weeks after the treatment. Both groups experienced improvements in the visual analog scale scores, shoulder pain and disability index scores, and range of motion throughout the study period. A significant group-time interaction was observed in terms of the visual analog scale for pain during motion (p = 0.019), favoring hydrodilatation through the rotator cuff interval. Thus, hydrodilatation through the rotator cuff interval might be a better treatment option than that through the posterior glenohumeral recess for patients with adhesive capsulitis, considering its superior effect in alleviating pain during shoulder movement.

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Ultrasound-Guided BoNT-A (Botulinum Toxin A) Injection Into the Subscapularis for Hemiplegic Shoulder Pain: A Randomized, Double-Blind, Placebo-Controlled Trial

Stroke ◽

10.1161/strokeaha.121.034049 ◽

2021 ◽

Author(s):

Botao Tan ◽

Lang Jia

Keyword(s):

Quality Of Life ◽

Range Of Motion ◽

Shoulder Pain ◽

Scale Score ◽

Visual Analog Scale ◽

Visual Analog Scale Score ◽

Analog Scale ◽

Modified Ashworth Scale ◽

Ashworth Scale

Background and Purpose: This study aimed to assess the efficacy of an ultrasound-guided lateral approach for BoNT-A (botulinum toxin A) injections into the subscapularis in patients with hemiplegic shoulder pain. Methods: This single-center trial used a randomized, double-blind, placebo-controlled design. The key inclusion criteria were a visual analog scale score of ≥4 cm and a modified Ashworth scale score of ≥1+. The patients were randomized to receive either BoNT-A injections or a placebo. The outcomes included the visual analog scale score, modified Ashworth scale score, pain-free passive range of motion of the hemiplegic shoulder, Fugl-Meyer assessment score for the upper extremities, and Stroke-Specific Quality-of-Life score. Results: A total of 49 hemiplegic shoulder pain patients were screened, and 36 were included. The participants receiving the BoNT-A injection reported a significant decrease in pain (visual analog scale, −1.39 [95% CI, −2.41 to −0.36]; P =0.002) and spasticity (modified Ashworth scale score for shoulder internal rotation, −0.72 [95% CI, −1.10 to −0.35]; P =0.001; modified Ashworth scale score for shoulder abduction, −0.44 [95% CI, −0.90 to −0.01]; P =0.026) and improved pain-free passive shoulder internal rotation range of motion (14.56 [95% CI, 6.70–21.41]; P <0.001) and quality of life (Stroke-Specific Quality-of-Life upper extremity subscale, P =0.025) compared with those receiving the placebo at the end point. The shoulder abduction range of motion did not significantly improve after the BoNT-A injection at the end point ( P =0.127). In addition, the patients in the BoNT-A group showed significant improvements in the visual analog scale score and shoulder external rotation range of motion at the 12-week follow-up. No injection-related adverse events were observed during or after the interventions in either group. Conclusions: The ultrasound-guided lateral approach for BoNT-A injections into the subscapularis is a precise and reliable method for reducing pain and spasticity and improving quality of life in stroke survivors with hemiplegic shoulder pain. Registration: URL: https://www.chictr.org.cn ; Unique identifier: ChiCTR1900023513.

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PENGARUH INTRADYALITIC EXERCISE TERHADAP PENURUNAN NYERI PASIEN HEMODIALISA RUTIN DI UNIT HEMODIALISA RSUD Dr. TJITROWARDOJO PURWOREJO

The Shine Cahaya Dunia Ners ◽

10.35720/tscners.v3i1.60 ◽

2018 ◽

Vol 3 (1) ◽

Author(s):

Wiwit Sugiarti ◽

Sri Nabawiyati Nurul Makiyah ◽

Azizah Khoiriyati

Keyword(s):

Visual Analog Scale ◽

Control Group ◽

P Value ◽

Analog Scale ◽

Intradialytic Exercise

Latar belakang; Nyeri muskuloskeletal merupakan gejala yang dialami pasien gagal ginjal kronik yang menjalani hemodialisa.Manajemen nyeri dapat menggunakan distraksi relaksasi konvensional dan intradialytic exercise. Penelitian ini bertujuan untuk mengetahui efektivitas Intradialytic exercise dalam menurunkan nyeri pada pasien hemodialisa rutin di Unit Hemodialisa Rumah Sakit Umum Daerah Dr. Tjitrowardojo Purworejo.Metode; Rancangan penelitian yang digunakan eksperimen semu dengan desain pretest-posttest with control group. Respondennya 36 orang, terdiri dari 18 pasien yang diberi Intradialytic exercise sebagai kelompok intervensi dan 18 pasien lainnya hanya diberikan distraksi-relaksasi konvensional sebagai kelompok kontrol. Pengukuran nyeri menggunakan Visual Analog Scale. Analisis datanya menggunakanPaired t Testdan Independent Sample t Test.Hasil; Hasil penelitian didapatkan perbedaan penurunan yang signifikan terhadap skor nyeri pre dan postes pada kelompok baik intervensi dan kelompok kontrol dengan p value 0,000 (p< 0,005 dan metode Intradialytic exercise lebih efektif dalam menurunkan skor nyeri dibandingkan metode distraksi-relaksasi konvensional pada pasien HD rutin dengan p value 0,000 (p< 0,005). Kata kunci: Intradialytic Exercise, Nyeri

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The Effect of Dry Needling on Pain, Range of Motion of Ankle Joint, and Ultrasonographic Changes of Plantar Fascia in Patients With Plantar Fasciitis

Journal of Sport Rehabilitation ◽

10.1123/jsr.2021-0156 ◽

2021 ◽

pp. 1-6

Author(s):

Afsaneh Moosaei Saein ◽

Ziaeddin Safavi-Farokhi ◽

Atefeh Aminianfar ◽

Marzieh Mortezanejad

Keyword(s):

Range Of Motion ◽

Ankle Joint ◽

Visual Analog Scale ◽

Plantar Fasciitis ◽

Plantar Flexion ◽

Plantar Fascia ◽

Trigger Points ◽

Dry Needling ◽

Analog Scale ◽

Significant Difference

Context: Plantar fasciitis (PF) is a common and devastating disease. Despite different treatments, there is no clear evidence for the effect of these treatments on PF. One of the therapy methods used in physiotherapy is dry needling (DN). So the purpose of this study is to investigate the effect of DN on the pain and range of motion of the ankle joint and plantar fascia thickness in subjects with PF who are suffering from the trigger points of the gastrocnemius and soleus muscles. Methods: In this study, 20 volunteer females with PF were randomly assigned into DN treatment and control groups. Measurements were range of motion in dorsiflexion and plantar flexion, plantar fascia thickness, and visual analog scale measured before, immediately, and 1 month after the end of the intervention in both groups. Results: There were significant differences in the plantar fascia thickness and visual analog scale between the 2 groups. Plantar fascia thickness (P = .016) and visual analog scale (P = .03) significantly decreased in the treatment group. However, there was no significant difference in plantar flexion (P = .582) and dorsiflexion range of motion (P = .173) between groups. Conclusion: The result of this study showed that DN can reduce pain and plantar fascia thickness in women with PF who are suffering from trigger points of the gastrocnemius and soleus muscles. Level of evidence: Level 1, randomized controlled trial.

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Association Between Type of Face Mask and Visual Analog Scale Scores During Pain Assessment

Pain Management Nursing ◽

10.1016/j.pmn.2021.09.005 ◽

2021 ◽

Author(s):

Merav Ben Natan ◽

Yaniv Steinfeld ◽

Sara Badash ◽

Galina Shmilov ◽

Milena Abramov ◽

...

Keyword(s):

Visual Analog Scale ◽

Pain Assessment ◽

Face Mask ◽

Analog Scale ◽

Scale Scores

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Visual Analog Scale Scores for Labor Pain

Anesthesia & Analgesia ◽

10.1213/00000539-199906000-00042 ◽

1999 ◽

Vol 88 (6) ◽

pp. 1421 ◽

Cited By ~ 32

Author(s):

Franklin Dexter

Keyword(s):

Visual Analog Scale ◽

Labor Pain ◽

Analog Scale ◽

Scale Scores

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Comparison of outcomes of osteosynthesis in type II accessory navicular by variable fixation methods

Foot & Ankle Orthopaedics ◽

10.1177/2473011418s00378 ◽

2018 ◽

Vol 3 (3) ◽

pp. 2473011418S0037

Author(s):

Hyun-woo Park ◽

Ho-seong Jang ◽

Jae Wan Suh ◽

Sunghyun Kim

Keyword(s):

Visual Analog Scale ◽

Tension Band ◽

Tension Band Wiring ◽

Social Activities ◽

Type Ii ◽

Analog Scale ◽

Fixation Methods ◽

Scale Scores ◽

Accessory Navicular ◽

Screw Group

Category: Midfoot/Forefoot Introduction/Purpose: To compare the outcomes of fixation methods for osteosynthesis of a type II symptomatic accessory navicular between screw and tension band wiring. Methods: Forty-four patients (mean age, 29.2 years; range, 13–54 years; 21 males and 23 females) who had undergone operative treatment after failed conservative treatment were chosen for the study between 2007 and 2014. The patients were divided into two groups by the method of osteosynthesis: group 1 (screw) and group 2 (tension band wiring). Pre and postoperative evaluations were performed, using the midfoot scale from the American Orthopaedic Foot & Ankle Society (AOFAS), a visual analog scale, time to return to social activities, and plain radiography. Results: The AOFAS midfoot and visual analog scale scores of both groups were improved at the last postoperative follow-up. The time to return to social activities was 12.3 weeks in the screw group and 11.9 weeks in the tension band wiring group (p = 0.394). A broken screw was observed in one case in the screw group and a broken k-wire was detected in two cases in the tension band wiring group. Nonunion was observed in two cases in each group. Conclusion: The tension band wiring technique could be another treatment choice of osteosynthesis for fixation of the accessory navicular bone.

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Visual Analog Scale Scores for Labor Pain

Anesthesia & Analgesia ◽

10.1213/00000539-199906000-00041 ◽

1999 ◽

Vol 88 (6) ◽

pp. 1421 ◽

Cited By ~ 3

Author(s):

William Camann

Keyword(s):

Visual Analog Scale ◽

Labor Pain ◽

Analog Scale ◽

Scale Scores

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Reducing the Pain of Local 1% Lidocaine Infiltration with a Preceding Bacteriostatic Saline Injection

Journal of the American Podiatric Medical Association ◽

10.7547/1010223 ◽

2011 ◽

Vol 101 (3) ◽

pp. 223-230 ◽

Cited By ~ 1

Author(s):

Stephen L. Barrett ◽

Jim Maxka ◽

Jamie N. Mieras ◽

Kimbal E. Cooper

Keyword(s):

Benzyl Alcohol ◽

Visual Analog Scale ◽

Saline Solution ◽

Prospective Trial ◽

Injection Technique ◽

Medical Procedure ◽

Analog Scale ◽

Double Blind ◽

Scale Scores ◽

Lidocaine Injection

Background: Lidocaine injection for local anesthesia is a common podiatric medical procedure. We tested the hypothesis that injection of bacteriostatic saline solution containing 0.9% benzyl alcohol before the lidocaine infiltration can reduce the burning caused by lidocaine injection. Methods: This double-blind prospective trial involved 45 participants who each received four injections in two areas of the dorsum of the foot and rated the perceived pain on a visual analog scale. The order of the injections was designed to disguise the control and intervention arms of the study. Results: The sensation of the lidocaine injection after the injection of saline was reduced significantly (P = .028). The percentage of lidocaine injections with visual analog scale scores of 0 increased by 36% after preinjection with bacteriostatic saline solution containing 0.9% benzyl alcohol. Conclusions: The fact that 40% of the intervention visual analog scale pain scores for lidocaine injections were 0 suggests that a near painless lidocaine injection technique is an achievable goal and that the present technique is a simple and inexpensive method of reducing the pain of lidocaine injections. (J Am Podiatr Med Assoc 101(3): 223–230, 2011)

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